RESTRAINT TYPE
|
ADJUSTABLE FIXED
|
ADJUSTABLE FIXED
|
RESTRAINT
LOCATION
VERTICAL
|
TOP OF REST LEVEL WITH TOP EAR?
YES
ABOVE BELOW
CAN’T TELL
|
TOP OF REST LEVEL WITH TOP EAR?
YES
ABOVE BELOW
CAN’T TELL
|
RESTRAINT
LOCATION
HORIZONTAL
|
TOUCHING
< 4" AWAY > 4" AWAY
CAN’T TELL
|
TOUCHING
< 4" AWAY > 4" AWAY
CAN’T TELL
|
USAGE
|
ADJUSTED?
YES NO
|
ADJUSTED?
YES NO
|
OVERALL RATING
|
ADEQUATE?
YES NO
|
ADEQUATE?
YES NO
|
VEHICLE INFO/ NOTES
|
MAKE/MODEL:
PC VAN UTIL LT
|
MAKE/MODEL:
PC VAN UTIL LT
|